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MEDICAL NETWORK OF ALASKA LLC NPI 1013558360


NPI Information

NPI: 1013558360
Provider Name: MEDICAL NETWORK OF ALASKA, LLC

Doing Business As: ALPENGLOW WOMEN'S HEALTH

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
3122 E MERIDIAN PARK LOOP
WASILLA, AK
ZIP 99654
Phone: (907) 357-9590
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MEDICAL NETWORK OF ALASKA, LLC is an obstetrics gynecology in Wasilla, AK. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. MEDICAL NETWORK OF ALASKA, LLC NPI is 1013558360. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Alpenglow Women's Health.

The provider's business location address is:

3122 E MERIDIAN PARK LOOP
WASILLA, AK
ZIP 99654-255
Phone: (907) 357-9590
Fax: (907) 357-9593

The provider's authorized official is Jacquelyn Renee Blomker .
The authorized official title is Rcm and has the following contact phone number (907) 864-4625.

The enumeration date for this NPI number is 10/7/2019 and was last updated on 11/2/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12093387OTHERALASKASTATE OF ALASKA BUSINESS LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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